[儿童不是迷你成人:儿童友好型医疗保健实践]。

Q3 Nursing Journal of Nursing Pub Date : 2023-06-01 DOI:10.6224/JN.202306_70(3).01
Chi-Wen Chen
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引用次数: 0

摘要

尽管正如瑞士发展心理学家皮亚杰(Jean Piaget, 2001)所言,“儿童不是微缩的成年人”(Piaget, 2001),但在儿科临床护理实践中,经常会遇到诸如“耐心点,一切都会过去的!”和“真的那么糟糕吗?”这样的观点,以及诸如“再哭一次,我就……”之类的麻木不化的评论,对儿科护士来说,在有创伤性治疗期间处理儿童及其家庭是一项日常挑战,也是满足的来源。儿童友好型护理的概念侧重于提供支持和护理,以满足儿童和家庭的需求,帮助他们适应医疗保健环境中的各种情况(Lookabaugh & Ballard, 2018)。儿童友好型保健必须以承认儿童权利为基础,其中包括健康权和医疗保健权(Lenton & Ehrich, 2015年)。将这一概念转化为实践需要战略、政策和环境变革。儿科护理实践中常用的一种相关策略是治疗性游戏,包括教学、宣泄和身体健康促进类别(Hockenberry等人,2023)。通过参与治疗性游戏,住院儿童可以更好地理解他们即将接受的测试或治疗,减轻他们的恐惧和痛苦,并发展更健康的行为。从儿童友好的角度来处理长期争论的问题也至关重要,例如儿童和青少年是否应该访问重症监护病房的家庭成员。德国学者Brauchle等人(2023)提出了考虑到医务人员、家长和儿童的先决条件和责任的儿童友好探视政策建议。近年来,台湾在将儿童生活专家、艺术和音乐治疗师纳入医院医疗团队方面取得了很大进展。这种包容有助于家庭更好地适应医疗环境,更好地应对医疗和治疗情况,培养更积极的医疗和护理经验(Fang et al., 2020)。重建儿童医疗环境;设计安全和治愈空间(Chang, 2021);为儿童及其家庭提供全面友好的身体、心理、社会和精神关怀是必不可少的。本专栏的三个主题分别反映了儿科急诊护士与患者之间的关系,以及音乐治疗和艺术治疗的治疗功能,并通过儿童友好护理的镜头提供了对儿童世界的重要见解。
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[Children Are Not Miniature Adults: Child-Friendly Healthcare in Practice].

Although, as eloquently stated by Swiss developmental psychologist Jean Piaget, "Children are not miniature adults" (Piaget, 2001), it remains common in pediatric clinical nursing practice to encounter viewpoints such as "Be patient and it will pass!" and "Is it really that bad?" as well as insensitive comments such as "Cry again, and I'll…" Dealing with children and their families during invasive treatments is a daily challenge as well as source of fulfillment for pediatric nurses. The concept of child-friendly care centers on providing support and care that addresses the needs of both the child and family to help them adapt to various situations within the healthcare environment (Lookabaugh & Ballard, 2018). Child-friendly healthcare must be grounded in the recognition of children's rights, which includes the right to health and the right to healthcare (Lenton & Ehrich, 2015). Strategies, policies, and environmental transformations are necessary to translate this concept into practice. One related strategy commonly used in pediatric nursing practice is therapeutic play, which encompasses instructional, cathartic, and physical health promotion categories (Hockenberry et al., 2023). By engaging in therapeutic play, hospitalized children can better comprehend the tests or treatments they are about to undergo, alleviate their fear and pain, and develop healthier behaviors. It is also crucial to approach long-debated issues such as whether children and adolescents should visit family members in intensive care units from a child-friendly perspective. German scholars Brauchle et al. (2023) proposed recommendations for child-friendly visitation policies that consider the prerequisites and responsibilities of medical staff, parents, and children. In recent years, Taiwan has made great strides in integrating child life specialists and art and music therapists into hospital medical teams. This inclusion is helping families better adapt to the medical environment and better cope with medical and treatment situations, fostering more-positive medical and nursing experiences (Fang et al., 2020). Furthermore, reconstructing the medical environment for children; designing safe and healing spaces (Chang, 2021); and providing overall-friendly physical, psychological, social, and spiritual care to children and their families are essential. Each of the three topics in this column reflect the relationships between pediatric emergency nurses and, respectively, patients, and the healing functions of music therapy and art therapy, and provide important insights into the world of children through the lens of child-friendly care.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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